CGRP receptor antagonists

ABSTRACT

The disclosures herein relate to novel compounds of formula 
                         
wherein R 1 , R 2  and R 3  are as defined herein, and their use in treating, preventing, ameliorating, controlling or reducing cerebrovascular or vascular disorders associated with CGRP receptor function.

CROSS REFERENCE TO RELATED APPLICATIONS

This application is a divisional of U.S. patent application Ser. No. 15/336,880, filed on Oct. 28, 2016, which claims the benefit of Great Britain Patent Application No. 1519195.0, filed Oct. 30, 2015, each of which is incorporated in its entirety by reference herein.

TECHNICAL FIELD

This application relates to novel compounds and their use as CGRP receptor antagonists. Compounds described herein may be useful in the treatment or prevention of cerebrovascular or vascular disorders such as migraine. The application is also directed to pharmaceutical compositions comprising these compounds and the manufacture and use of these compounds and compositions in the prevention or treatment of such cerebrovascular or vascular disorders.

BACKGROUND OF THE INVENTION

Migraine is a highly disabling neurovascular disorder characterized by attacks of moderate to severe headache that are often associated with nausea, vomiting, photophobia, and phonophobia. The attacks can last from 4 to 72 h, and the average attack frequency is 1 or 2 per month. About 20-30% of migraine patients experience transient focal neurologic symptoms known as aura, which are usually visual and can precede or accompany the headache. Migraine afflicts about 11% of adults worldwide and results in a significant socioeconomic burden, in terms of both quality of life and lost productivity.

Whilst the pathomechanism of migraine is still unclear, one of the leading hypotheses is based on activation of the trigeminovascular system (TS). Several neuropeptides participate in this activation, calcitonin gene-related peptide (CGRP) playing a crucial role among them. CGRP exerts various biological effects through the peripheral and central nervous system (CNS). The functional CGRP-receptor (CGRP-R) complex has been well characterized, and novel therapeutic approaches target CGRP itself and its receptors. This invention relates to the development of CGRP receptor antagonists (CGRP-RA).

CGRP, a 37-amino acid neuropeptide derived from the gene encoding calcitonin, is formed from the alternative splicing of the calcitonin/CGRP gene located on chromosome 11. In humans, CGRP has two isoforms: α- and β-CGRP. The β-isoform differs from the α-isoform in the amino acids located at positions 3, 22 and 25. The chemical structure of CGRP involves a disulphide bridge between residues 2 and 7 and an amidated C-terminus. The cyclic cysteine2-cysteine7 motif has a basic role in receptor activation. In the human trigeminal ganglia (TRIG), CGRP-immunoreactive neurons account for up to 50% of all neurons. It has been demonstrated through an in situ hybridization technique that 40% of all nerve cell bodies contain CGRP mRNA and CGRP. Double immunostaining has shown that in the human TRIG CGRP is co-localized with nitric oxide synthase, substance P (SP), pituitary adenylate cyclase activating peptide (PACAP) and nociceptin, which may play a role in the pathomechanism of migraine.

The functional CGRP-R consists of three proteins: i) Calcitonin Receptor Like Receptor (known as CRLR, CALCRL or CLR) is a seven-transmembrane spanning protein, which forms the ligand binding site with; ii) RAMP1, determining the specificity of the receptor; and iii) the CGRP-R component protein (RCP) couples the receptor to intracellular signal transduction pathways and to adenylyl cyclase.

It is thought that the C-terminal region of CGRP initially binds to the large N-terminal extracellular domain (ECD) of the receptor, likely making interactions with both CLR and RAMP1. This initial binding event greatly increases the local concentration of the N-terminal region of CGRP in the vicinity of the juxtamembrane portion of CLR, allowing their relatively weak interaction to occur and resulting in receptor activation. Since mutagenesis experiments indicated that most small molecule antagonists interacted with the ECD of CLR/RAMP1, it was hypothesized that they bind to this region of the receptor and prevent the initial binding of CGRP to the receptor. A notable exception to this model of peptide binding and small molecule receptor antagonism is the hydroxypyridine class of antagonists, which apparently interact with transmembrane domain 7 (TM7) in CLR and not with the extracellular domain (Bell I M, J. Med. Chem., 2014, 57(19), 7838-58).

The first clinically tested CGRP-RA, olcegepant, was based on a dipeptide backbone, had high molecular weight, and was not orally bioavailable. Nonetheless, when dosed intravenously, olcegepant proved to be an effective antimigraine agent, and this proof-of-concept study greatly increased interest in the field. Following the success of olcegepant, a number of orally acting CGRP-RAs were advanced to clinical trials. Telcagepant and compounds BI 44370, MK-3207, and BMS-927711 have all been used for acute treatment of migraine as oral agents. Taken together, the results from these clinical studies demonstrate that CGRP-RAs can exhibit similar antimigraine efficacy to the gold standard triptan drugs but with a significantly lower incidence of adverse events than is typically observed with a triptan. It is worth noting that the available data indicate that these CGRP blockers do not cause vasoconstriction and suggest that they may have a superior cardiovascular safety profile to the triptans. One potential concern that has been reported with some CGRP-RAs is the observation of elevated levels of liver transaminases in some patients, and this reportedly led to the discontinuation of MK-3207. Although elevated liver enzymes were also found in a small number of subjects after dosing with telcagepant for an extended period, it is not clear if these findings are in some way mechanism-based or specific to these two compounds.

In clinical trials for acute migraine therapy, the CGRP-RAs displayed favorable effects, but their frequent administration was associated with liver toxicity (the elevation of liver transaminases), which limited their clinical use. Hence, there is a need to develop new CGRP-RAs which do not induce liver injury.

SUMMARY OF THE INVENTION

One possibility to address the risk of liver injury is to target a non-oral route of delivery for a small molecule which will place a lower burden on the liver through first-pass exposure. The compounds of the invention can be used for sub-cutaneous, intravenous and/or intranasal routes of administration. The molecular profile for a CGRP-RA intended for such routes of administration differs from the profile required for an oral molecule: extremely high affinity and functional potency, coupled with extremely high solubility is required. Disclosed herein are novel compounds, and the first medical use of said compounds as CGRP receptor antagonists.

Compounds of the invention include compounds of formula (I)

or salts thereof, wherein R¹ is selected from

-   R² is H or forms a spirocyclic heterocyclic ring with R³; -   R³ forms a spirocyclic heterocyclic ring with R² or is a     heterocyclic ring if R² is H.

DETAILED DESCRIPTION OF THE INVENTION

The invention relates to novel compounds. The invention also relates to the use of novel compounds as CGRP receptor antagonists. The invention further relates to the use of compounds in the manufacture of medicaments for use as CGRP receptor antagonists. The invention further relates to compounds, compositions and medicaments for the treatment of cerebrovascular or vascular disorders such as migraine (including subtypes such as: migraine without aura, chronic migraine, pure menstrual migraine, menstrually-related migraine, migraine with aura, familial hemiplegic migraine, sporadic hemiplegic migraine, basilar-type migraine, cyclical vomiting, abdominal migraine, benign paroxysmal vertigo of childhood, retinal migraine), status migrainosus, cluster headache, dialysis headache, paroxysmal hemicrania, osteoarthritis, hot flashes associated with menopause or medically induced menopause due to surgery or drug treatment, hemicrania continua, cyclic vomiting syndrome, allergic rhinitis, or rosacea. The invention further relates to compounds, compositions and medicaments for the treatment of broader pain states and diseases involving neurogenic inflammation including dental pain, earache, middle ear inflammation, sunburn, joint pain associated with osteoarthritis and rheumatoid arthritis, cancer pain, fibromyalgia, diabetic neuropathy, pain associated with inflammatory bowel disease—Crohn's disease, gout, complex regional pain syndrome, Behçet's disease, endometriosis pain, back pain or cough.

Compounds exemplified herein are based around the structure: formula (I):

wherein R¹ is selected from

-   R² is H or forms a spirocyclic heterocyclic ring with R³; -   R³ forms a spirocyclic heterocyclic ring with R² or is a     heterocyclic ring if R² is H.

In a more particular embodiment, the substituent for R¹ is

In a particular embodiment, the substituent for R² is H and R³ is selected from:

In a more particular embodiment, R³ is

In a particular embodiment, R² forms a spirocyclic heterocyclic ring with R³ to form:

Further embodiments of the invention include methods of treatment comprising administering a compound of formulas (I) as a CGRP receptor antagonist. The treatment using a compound of formulas (I) may be in the treatment of cerebrovascular disorders such as migraine (including subtypes such as: migraine without aura, chronic migraine, pure menstrual migraine, menstrually-related migraine, migraine with aura, familial hemiplegic migraine, sporadic hemiplegic migraine, basilar-type migraine, cyclical vomiting, abdominal migraine, benign paroxysmal vertigo of childhood, retinal migraine), status migrainosus, cluster headache, dialysis headache, paroxysmal hemicrania, osteoarthritis, hot flashes associated with menopause or medically induced menopause due to surgery or drug treatment, hemicrania continua, cyclic vomiting syndrome, allergic rhinitis, or rosacea. The invention further relates to compounds, compositions and medicaments for the treatment of broader pain states and diseases involving neurogenic inflammation including dental pain, earache, middle ear inflammation, sunburn, joint pain associated with osteoarthritis and rheumatoid arthritis, cancer pain, fibromyalgia, diabetic neuropathy, pain associated with inflammatory bowel disease—Crohn's disease, gout, complex regional pain syndrome, Behçet's disease, endometriosis pain, back pain or cough.

Certain novel compounds of the invention show particularly high activities as CGRP receptor antagonists.

Exemplary compounds include:

The NMR and LCMS properties as well as the biological activities of these compounds are set out in Tables 2 and 3.

To the extent that any of the compounds described have chiral centres, the present invention extends to all optical isomers of such compounds, whether in the form of racemates or resolved enantiomers. The invention described herein relates to all crystal forms, solvates and hydrates of any of the disclosed compounds however so prepared. To the extent that any of the compounds and intermediates disclosed herein have acid or basic centres such as carboxylates or amino groups, then all salt forms of said compounds are included herein. In the case of pharmaceutical uses, the salt should be seen as being a pharmaceutically acceptable salt.

Pharmaceutically acceptable salts that may be mentioned include acid addition salts and base addition salts. Such salts may be formed by conventional means, for example by reaction of a free acid or a free base form of a compound with one or more equivalents of an appropriate acid or base, optionally in a solvent, or in a medium in which the salt is insoluble, followed by removal of said solvent, or said medium, using standard techniques (e.g. in vacuo, by freeze-drying or by filtration). Salts may also be prepared by exchanging a counter-ion of a compound in the form of a salt with another counter-ion, for example using a suitable ion exchange resin.

Examples of pharmaceutically acceptable salts include acid addition salts derived from mineral acids and organic acids, and salts derived from metals such as sodium, magnesium, or preferably, potassium and calcium.

Examples of acid addition salts include acid addition salts formed with acetic, 2,2-dichloroacetic, adipic, alginic, aryl sulfonic acids (e.g. benzenesulfonic, naphthalene-2-sulfonic, naphthalene-1,5-disulfonic and p-toluenesulfonic), ascorbic (e.g. L-ascorbic), L-aspartic, benzoic, 4-acetamidobenzoic, butanoic, (+)-camphoric, camphor-sulfonic, (+)-(1S)-camphor-10-sulfonic, capric, caproic, caprylic, cinnamic, citric, cyclamic, dodecyl sulfuric, ethane-1,2-disulfonic, ethanesulfonic, 2-hydroxyethanesulfonic, formic, fumaric, galactaric, gentisic, glucoheptonic, gluconic (e.g. D-gluconic), glucuronic (e.g. D-glucuronic), glutamic (e.g. L-glutamic), α-oxoglutaric, glycolic, hippuric, hydrobromic, hydrochloric, hydriodic, isethionic, lactic (e.g. (+)-L-lactic and (±)-DL-lactic), lactobionic, maleic, malic (e.g. (−)-L-malic), malonic, (±)-DL-mandelic, metaphosphoric, methanesulfonic, 1-hydroxy-2-naphthoic, nicotinic, nitric, oleic, orotic, oxalic, palmitic, pamoic, phosphoric, propionic, L-pyroglutamic, salicylic, 4-amino-salicylic, sebacic, stearic, succinic, sulfuric, tannic, tartaric (e.g. (+)-L-tartaric), thiocyanic, undecylenic and valeric acids.

Particular examples of salts are salts derived from mineral acids such as hydrochloric, hydrobromic, phosphoric, metaphosphoric, nitric and sulfuric acids; from organic acids, such as tartaric, acetic, citric, malic, lactic, fumaric, benzoic, glycolic, gluconic, succinic, arylsulfonic, pamoic acids; and from metals such as sodium, magnesium, or preferably, potassium and calcium.

Also encompassed are any solvates of the compounds and their salts. Preferred solvates are solvates formed by the incorporation into the solid state structure (e.g. crystal structure) of the compounds of the invention of molecules of a non-toxic pharmaceutically acceptable solvent (referred to below as the solvating solvent). Examples of such solvents include water, alcohols (such as ethanol, isopropanol and butanol) and dimethylsulfoxide. Solvates can be prepared by recrystallising the compounds of the invention with a solvent or mixture of solvents containing the solvating solvent. Whether or not a solvate has been formed in any given instance can be determined by subjecting crystals of the compound to analysis using well known and standard techniques such as thermogravimetric analysis (TGE), differential scanning calorimetry (DSC) and X-ray crystallography.

The solvates can be stoichiometric or non-stoichiometric solvates. Particular solvates may be hydrates, and examples of hydrates include hemihydrates, monohydrates and dihydrates.

For a more detailed discussion of solvates and the methods used to make and characterise them, see Bryn et al., Solid-State Chemistry of Drugs, Second Edition, published by SSCI, Inc of West Lafayette, Ind., USA, 1999, ISBN 0-967-06710-3.

“Pharmaceutically functional derivatives” of compounds as defined herein includes ester derivatives and/or derivatives that have, or provide for, the same biological function and/or activity as any relevant compound of the invention. Thus, for the purposes of this invention, the term also includes prodrugs of compounds as defined herein.

The term “prodrug” of a relevant compound includes any compound that, following oral or parenteral administration, is metabolised in vivo to form that compound in an experimentally-detectable amount, and within a predetermined time (e.g. within a dosing interval of between 6 and 24 hours (i.e. once to four times daily)).

Prodrugs of compounds may be prepared by modifying functional groups present on the compound in such a way that the modifications are cleaved, in vivo when such prodrug is administered to a mammalian subject. The modifications typically are achieved by synthesizing the parent compound with a prodrug substituent. Prodrugs include compounds wherein a hydroxyl, amino, sulfhydryl, carboxyl or carbonyl group in a compound is bonded to any group that may be cleaved in vivo to regenerate the free hydroxyl, amino, sulfhydryl, carboxyl or carbonyl group, respectively.

Examples of prodrugs include, but are not limited to, esters and carbamates of hydroxyl functional groups, ester groups of carboxyl functional groups, N-acyl derivatives and N-Mannich bases. General information on prodrugs may be found e.g. in Bundegaard, H. “Design of Prodrugs” p. 1-92, Elsevier, New York-Oxford (1985).

Definitions

Heterocyclic

Heterocyclic means a cyclic group which may be aromatic in which at least one ring member is other than carbon. For example, at least one ring member (for example one, two or three ring members) may be selected from nitrogen, oxygen and sulphur. The point of attachment of heteroaryl groups may be via any atom of the ring system. Exemplary heteroaryl groups include pyridyl, indazolyl, 1,4-dihydro-2H-pyrido[2,3-d][1,3]oxazin-2-one, 1,3-dihydro-2H-imidazo[4,5-b]pyridin-2-one, 3,4-dihydroquinazolin-2(1H)-one, quinolin-2(1H)-one, piperidinyl, pyrrolidinyl, 2,8-diazaspiro[4.5]decane and the like.

The term “pharmaceutical composition” in the context of this invention means a composition comprising an active agent and comprising additionally one or more pharmaceutically acceptable carriers. The composition may further contain ingredients selected from, for example, diluents, adjuvants, excipients, vehicles, preserving agents, fillers, disintegrating agents, wetting agents, emulsifying agents, suspending agents, sweetening agents, flavouring agents, perfuming agents, antibacterial agents, antifungal agents, lubricating agents and dispersing agents, depending on the nature of the mode of administration and dosage forms. The compositions may take the form, for example, of tablets, dragees, powders, elixirs, syrups, liquid preparations including suspensions, sprays, inhalants, tablets, lozenges, emulsions, solutions, cachets, granules, capsules and suppositories, as well as liquid preparations for injections, including liposome preparations.

The dosages may be varied depending upon the requirements of the patient, the severity of the condition being treated, and the compound being employed. Determination of the proper dosage for a particular situation is within the skill of the art. Generally, treatment is initiated with the smaller dosages which are less than the optimum dose of the compound. Thereafter the dosage is increased by small increments until the optimum effect under the circumstances is reached. For convenience, the total daily dosage may be divided and administered in portions during the day if desired.

The magnitude of an effective dose of a compound will, of course, vary with the nature of the severity of the condition to be treated and with the particular compound and its route of administration. The selection of appropriate dosages is within the ability of one of ordinary skill in this art, without undue burden. In general, the daily dose range may be from about 10 μg to about 30 mg per kg body weight of a human and non-human animal, preferably from about 50 μg to about 30 mg per kg of body weight of a human and non-human animal, for example from about 50 μg to about 10 mg per kg of body weight of a human and non-human animal, for example from about 100 μg to about 30 mg per kg of body weight of a human and non-human animal, for example from about 100 μg to about 10 mg per kg of body weight of a human and non-human animal and most preferably from about 100 μg to about 1 mg per kg of body weight of a human and non-human animal.

Preparation of the Compounds of the Invention

Compounds of the invention may be prepared, for example, by routes including those depicted in Scheme 1. Details of many of the standard transformations such as those in the routes below and others which could be used to perform the same transformations can be found in standard reference textbooks such as “Organic Synthesis”, M. B. Smith, McGraw-Hill (1994) or “Advanced Organic Chemistry”, 4^(th) edition, J. March, John Wiley & Sons (1992).

Urea formations between amino acid intermediates, for example methyl esters of amino acids, and amine intermediates can be formed under conditions using a coupling agent such as DSC in the presence of a base such as triethylamine or DIPEA in solvents such as DMF. The methyl ester portion of the subsequently formed urea derivatives can be saponified using aqueous bases such as lithium hydroxide in a suitable solvent such as THF, MeOH, 1,4-dioxane, EtOAc or a mixture thereof. The acid intermediates thus formed can be converted into amide examples under standard conditions, for example using a coupling agent such as HATU, in the presence of a base such as DIPEA in a suitable solvent such as DMF or DCM. The amine partners for such amide couplings can be prepared using an appropriate combination of standard transformations (for example reductive aminations using an amine, an aldehyde or ketone, and a reducing agent such as sodium triacetoxyborohydride in a solvent such as DCM in the presence of acetic acid; or amide formation under conditions such as those detailed above; or nucleophilic aromatic substitution (S_(N)Ar) reactions). In the synthesis of compounds of the invention S_(N)Ar reactions between an amine and a halogenated heterocycle are typically conducted at 80° C., in a suitable solvent such as MeCN and in the presence of a base such as K₂CO₃. Following standard transformations such as the above, or during such a sequence of such transformations, removal of standard protecting groups may be necessary and can be undertaken using conditions which can be found in reference textbooks, for example “Protecting Groups”, 3^(rd) edition, P. J. Kocieński, Georg Thieme Verlag (2005). One such transformation is the removal of a tert-butoxycarbonyl group (commonly known as a Boc group) from an amine under acidic conditions such as HCl in a solvent such as 1,4-dioxane, MeOH, EtOH, DCM or combinations thereof. It can be appreciated that Boc deprotection of amine intermediates of the invention which possess additional basic centres may result in hydrochloride salts of different stoichiometries. For example the Boc deprotection of an intermediate with one additional basic centre will result in the formation of a new amine intermediate which is for example the mono-hydrochloride or di-hydrochloride salt, which will often be used without neutralisation of the hydrochloride salt to produce the free base of the intermediate, as it can be appreciated that in the subsequent amide formation an excess of a base such as DIPEA or triethylamine is typically used to neutralise the hydrochloride salt. Amine intermediates of the invention formed by Boc-deprotection which are used without neutralisation to the free base are named herein as the hydrochloride (×HCl), and the present invention extends to all salt forms of the said intermediates. Another such protecting group removal is the deprotection of a carbobenzyloxy-protected amine (commonly known as a CBZ or Z group) using reductive conditions such as catalysis by palladium on carbon in a solvent such as EtOH or aqueous EtOH in the presence of gaseous H₂. Alternative conditions for the removal of a CBZ-protecing group include transfer hydrogenation, for example using a palladium on carbon catalyst in the presence of or ammonium formate in a solvent such as EtOH or aqueous EtOH at an elevated temperature such as 70° C.

General Procedures

Where no preparative routes are included, the relevant intermediate is commercially available. Commercial reagents were utilized without further purification. Room temperature (rt) refers to approximately 20-27° C. ¹H NMR spectra were recorded at 400 MHz or 600 MHz on Bruker, Varian or JEOL instruments at ambient temperature unless otherwise specified. Chemical shift values are expressed in parts per million (ppm), i.e. (δ)-values. The following abbreviations are used for the multiplicity of the NMR signals: s=singlet, br=broad, d=doublet, t=triplet, q=quartet, quin=quintet, h=heptet, dd=doublet of doublets, dt=double of triplets, m=multiplet. Coupling constants are listed as J values, measured in Hz. NMR and mass spectroscopy results were corrected to account for background peaks. Chromatography refers to column chromatography performed using silica and executed under positive pressure (flash chromatography) conditions. LCMS experiments were carried out using electrospray conditions under the conditions below. LCMS data are given in the format: Mass ion, electrospray mode (positive or negative), retention time (experimental text and Table 1); Mass ion, electrospray mode (positive or negative), retention time, approximate purity (Table 2).

Method A.

Instruments: Hewlett Packard 1100 with G1315A DAD, Micromass ZQ; Column: Waters X-Bridge C-18, 2.5 micron, 2.1×20 mm or Phenomenex Gemini-NX C-18, 3 micron, 2.0×30 mm; Gradient [time (min)/solvent D in C (%)]: 0.00/2, 0.10/2, 8.40/95, 10.00/95; Solvents: solvent C=2.5 L H₂O+2.5 mL 28% ammonia in water solution; solvent D=2.5 L MeCN+135 mL H₂O+2.5 mL 28% ammonia in water solution; Injection volume 1 μL; UV detection 230 to 400 nM; column temperature 45° C.; Flow rate 1.5 mL/min.

Method B.

Instruments: Agilent Technologies 1260 Infinity LC with Chemstation software, Diode Array Detector, Agilent 6120B Single Quadrupole MS with API-ES Source; Column: Phenomenex Gemini-NX C-18, 3 micron, 2.0×30 mm; Gradient [time (min)/solvent D in C (%)]:0.00/5, 2.00/95, 2.50/95, 2.60/5, 3.00/5; Solvents C and D are as described above in Method A; Injection volume 0.5 μL; UV detection 190 to 400 nM; column temperature 40° C.; Flow rate 1.5 mL/min.

Abbreviations

-   DCM=dichloromethane -   DIPEA=N,N-diisopropylethylamine -   DMAC=N,N-dimethylacetamide -   DMF=dimethylformamide -   DMSO=dimethylsulfoxide -   ES=electrospray -   EtOAc=ethyl acetate -   h=hour(s) -   HATU=1-[bis(dimethylamino)methylene]-1H-1,2,3-triazolo[4,5-b]pyridinium     3-oxid hexafluorophosphate -   L=liter -   LC=liquid chromatography -   LCMS=liquid chromatography mass spectrometry -   MeCN=acetonitrile -   min=minute(s) -   MS=mass spectrometry -   NMR=nuclear magnetic resonance -   rcf=relative centrifugal force -   rpm=revolutions per minute -   rt=room temperature -   s=second(s) -   THF=tetrahydrofuran -   Prefixes n-, s-, t- and tert- have their usual meanings: normal,     secondary, iso, and tertiary.     Synthesis of Intermediates     Preparation of Carboxylic Acid Intermediates

Typical Procedure for the Preparation of Carboxylic Acid Intermediates via Urea Formation and Subsequent Saponification, as Exemplified by the Preparation of Intermediate 6, (2R)-3-(7-methyl-1H-indazol-5-yl)-2-{[(2′-oxo-1′,2′-dihydro-1H-spiro[piperidine-4,4′-pyrido[2,3-d][1,3]oxazin]-1-yl)carbonyl]amino}propanoic Acid

Step 1) Et₃N (2.26 mL, 16.3 mmol) was added to a solution of (R)-methyl 2-amino-3-(7-methyl-1H-indazol-5-yl)propanoate dihydrochloride (Intermediate 5, 995 mg, 3.3 mmol) and DSC (917 mg, 3.6 mmol) in DMF (20 mL) and the mixture stirred at rt for 30 min. Spiro[piperidine-4,4′-[4H]pyrido[2,3-d][1,3]oxazin]-2′(1′H)-one (Intermediate 4, 785 mg, 3.6 mmol) was then added portionwise and the reaction mixture stirred at rt for 18 h before concentration in vacuo. The residue was partitioned between H₂O and MeOH/DCM (1:9), the phases were separated and the aqueous layer was washed with H₂O. Residual solid from the separation step was dissolved in MeOH and the combined organic layers were concentrated in vacuo and purified by flash chromatography, eluting with EtOAc in MeOH (20:1), to yield methyl (2R)-3-(7-methyl-1H-indazol-5-yl)-2-{[(2′-oxo-1′,2′-dihydro-1H-spiro[piperidine-4,4′-pyrido[2,3-d][1,3]oxazin]-1-yl)carbonyl]amino}propanoate (1.06 g, 2.22 mmol) as a white solid.

LCMS (Method A): m/z 479.3 (ES+), at 2.61 min, 100%.

¹H NMR: (400 MHz, DMSO-d₆) δ: 1.59-1.75 (m, 2H), 1.78-1.90 (m, 2H), 2.45 (s, 3H), 2.90-3.08 (m, 4H), 3.59 (s, 3H), 3.86-3.96 (m, 2H), 4.28-4.38 (m, 1H), 6.94-7.06 (m, 3H), 7.32 (dd, J=7.4, 1.2, 1H), 7.39 (s, 1H), 7.95 (s, 1H), 8.18 (dd, J=5.1, 1.6, 1H), 10.79 (s, 1H), 13.04 (s, 1H).

Step 2) Methyl (2R)-3-(7-methyl-1H-indazol-5-yl)-2-{[(2′-oxo-1′,2′-dihydro-1H-spiro[piperidine-4,4′-pyrido[2,3-d][1,3]oxazin]-1-yl)carbonyl]amino}propanoate (1.06 g, 2.22 mmol) was dissolved in THF (15 mL) and MeOH (3 mL) and an aqueous solution of LiOH (1M, 4.4 mL, 4.4 mmol) was added dropwise. After stirring at rt for 3.5 h further aqueous LiOH (1M, 2.2 mL, 2.2 mmol) was added dropwise and the mixture stirred for 1 h at rt before concentration under a stream of nitrogen. The residue was dissolved in a minimum volume of H₂O and cooled to 0° C. Aqueous 1M HCl was added dropwise to adjust the pH to ≤3 and the resulting precipitate was isolated by filtration, washed with cold H₂O and Et₂O to yield the title compound (877 mg, 1.89 mmol) as a pale yellow solid.

Data in Table 1.

Intermediate 7, (2R)-3-(7-methyl-1H-indazol-5-yl)-2-({[4-(2-oxo-2,3-dihydro-1H-imidazo[4,5-b]pyridin-1-yl)piperidin-1-yl]carbonyl}amino)propanoic Acid

The title compound (1.50 g, 3.2 mmol) was prepared over two steps from (R)-methyl 2-amino-3-(7-methyl-1H-indazol-5-yl)propanoate (Intermediate 5, 1.00 g, 4.3 mmol) and 1-(piperidin-4-yl)-1,3-dihydro-2H-imidazo[4,5-b]pyridin-2-one (Intermediate 1, 1.02 g, 4.7 mmol) using the methods of Intermediate 6.

Data in Table 1.

Intermediate 9, (2R)-3-(7-methyl-1H-indazol-5-yl)-2-({[4-(2-oxo-1,4-dihydroquinazolin-3(2H)-yl)piperidin-1-yl]carbonyl}amino)propanoic Acid

The title compound (561 mg, 1.18 mmol) was prepared over two steps from (R)-methyl 2-amino-3-(7-methyl-1H-indazol-5-yl)propanoate (Intermediate 5, 917 mg, 3.93 mmol) and 3-(piperidin-4-yl)-3,4-dihydroquinazolin-2(1H)-one (Intermediate 3, 1.00 g, 4.32 mmol) using the methods of Intermediate 6.

Data in Table 1.

Intermediate 8, (2R)-3-(7-methyl-1H-indazol-5-yl)-2-({[4-(2-oxo-1,2-dihydroquinolin-3-yl)piperidin-1-yl]carbonyl}amino)propanoic Acid

Step 1) To a solution of (R)-methyl 2-amino-3-(7-methyl-1H-indazol-5-yl) propanoate (Intermediate 5, 6.05 g, 25.9 mmol) in DMF (60 mL) under Na at approximately −20° C. was added CDI (8.40 g, 51.8 mmol) and the mixture was stirred for 15 min while keeping the temperature below −10° C. A solution of H₂O (2.34 mL) in a few mL of DMF was added and stirring continued for 15 min while keeping the temperature below −10° C. 3-(Piperidin-4-yl) quinolin-2(1H)-one (Intermediate 2, 6.99 g, 30.6 mmol), DIPEA (4.93 mL, 28.2 mmol) and DCM (20 mL) were then added in that order and the mixture was heated to 40° C. under Na for 12 hrs. After cooling to rt, 2M HCl (aq) (38.7 mL) was added and the mixture was extracted twice with DCM. The combined organic extracts were washed three times with H₂O, dried (Na₂SO₄) and concentrated in vacuo. Purification by flash chromatography, eluting with MeOH/DCM (5:95), yielded methyl (2R)-3-(7-methyl-1H-indazol-5-yl)-2-({[4-(2-oxo-1,2-dihydroquinolin-3-yl)piperidin-1-yl]carbonyl}amino)propanoate (10.4 g, 21.3 mmol) as a light tan solid.

¹H NMR: (400 MHz, CDCl₃) δ: 1.40-1.60 (m, 2H), 1.95-1.97 (m, 2H), 2.46 (s, 3H), 2.90-3.00 (m, 2H), 3.11-3.26 (m, 3H), 3.76 (s, 3H), 4.07-4.12 (m, 2H), 4.86-4.91 (m, 1H), 5.18 (d, J=7.6, 1H), 6.93 (s, 1H), 7.17-7.21 (m, 1H), 7.24 (s, 1H), 7.32 (s, 1H), 7.43-7.54 (m, 3H), 7.95 (s, 1H), 10.70 (s, 2H).

Step 2) To a solution of methyl (2R)-3-(7-methyl-1H-indazol-5-yl)-2-({[4-(2-oxo-1,2-dihydroquinolin-3-yl)piperidin-1-yl]carbonyl}amino)propanoate (9.79 g, 20.1 mmol) in 1,4-dioxane (150 mL) was added a solution of LiOH.H₂O (1.26 g, 30.0 mmol) in H₂O (150 mL) and the mixture was stirred at rt for 2 h. The reaction mixture was concentrated in vacuo to near-dryness and re-dissolved in H₂O before being acidified with aqueous 2M HCl (approximately 15 mL) whilst being rapidly stirred. The resulting thick white precipitate was isolated by filtration and washed with H₂O until the washings were near neutral pH. Drying in vacuo yielded the title compound (8.11 g, 17.1 mmol) as an off-white solid.

Data in Table 1.

Preparation of Amine Intermediates

Intermediate 12, benzyl 4-(2,8-diazaspiro[4.5]dec-8-yl)piperidine-1-carboxylate Hydrochloride

Step 1) A mixture of tert-butyl 2,8-diazaspiro[4.5]decane-2-carboxylate (Intermediate 10, 0.50 g, 2.08 mmol), benzyl 4-oxopiperidine-1-carboxylate (Intermediate 11, 583 mg, 2.50 mmol), acetic acid (143 μL, 2.50 mmol) and sodium triacetoxyborohydride (530 mg, 2.50 mmol) in DCM (10 mL) was stirred at rt overnight. Further benzyl 4-oxopiperidine-1-carboxylate (Intermediate 11, 600 mg, 2.57 mmol) and acetic acid (150 μL, 2.62 mmol) were added and the mixture stirred at rt for 1 h before addition of further sodium triacetoxyborohydride (550 mg, 2.59 mmol). The mixture was stirred at rt overnight before concentration in vacuo and purification by gradient flash chromatography, eluting with 0-10% MeOH in DCM, yielded tert-butyl 8-{1-[(benzyloxy)carbonyl]piperidin-4-yl}-2,8-diazaspiro[4.5]decane-2-carboxylate (620 mg, 1.35 mmol).

LCMS (Method B): m/z 458.2 (ES+), at 1.70 min.

¹H NMR: (400 MHz, CDCl₃) δ: ppm 1.45 (s, 9H), 1.48-1.56 (m, 1H), 1.64-1.74 (m, 4H), 1.87-1.96 (m, 2H), 2.51-1.85 (m, 10H), 3.30-3.43 (m, 4H), 4.19-4.32 (m, 2H), 5.11 (s, 2H), 7.30-7.40 (m, 5H).

Step 2) HCl in 1,4-dioxane (4M, 5.0 mL, 20.0 mmol) was added to a solution of (tert-butyl 8-{1-[(benzyloxy)carbonyl]piperidin-4-yl}-2,8-diazaspiro[4.5]decane-2-carboxylate (310 mg, 0.68 mmol) in MeOH (5 mL). The mixture was stirred at rt for 3 d before concentration in vacuo yielded the title compound (colourless solid, 290 mg).

Data in Table 1.

Intermediate 14, benzyl[(2R)-1-(2,8-diazaspiro[4.5]dec-8-yl)-1-oxopropan-2-yl]methylcarbamate Hydrochloride

Step 1) A mixture of tert-butyl 2,8-diazaspiro[4.5]decane-2-carboxylate (Intermediate 10, 865 mg, 3.60 mmol), N-[(benzyloxy)carbonyl]-N-methyl-D-alanine (Intermediate 13, 712 mg, 3.00 mmol), HATU (1.37 g, 3.60 mmol) and DIPEA (2.68 mL, 15.0 mmol) in DCM (25 mL) was stirred at rt overnight. Saturated aqueous NaHCO₃ solution was added, the phases were separated and the organic phases was concentrated in vacuo. Purification by gradient flash chromatography, eluting with 2-10% MeOH in DCM, followed by preparative HPLC (Phenomenex Gemini-NX 5 μm C18 column, 100×30 mm, eluting with 50 to 80% MeCN/Solvent B over 12.5 min at 30 mL/min [where solvent B is 0.2% of (28% NH₃/H₂O) in H₂O], collecting fractions by monitoring at 205 nm), yielded tert-butyl 8-{N-[(benzyloxy)carbonyl]-N-methyl-D-alanyl}-2,8-diazaspiro[4.5]decane-2-carboxylate as a colourless foam (1.08 g, 2.19 mmol).

LCMS (Method A): m/z 460.5 (ES+), at 4.68 min.

¹H NMR: (400 MHz, DMSO-d₆) δ: 1.10-1.29 (m, 5H), 1.30-1.47 (m, 1H), 1.39 (s, 9H), 1.52-1.77 (m, 2H), 2.67-2.77 (m, 3H), 2.87-3.12 (m, 3H), 3.12-3.35 (m, 5H), 3.46-3.76 (m, 1H), 4.88-5.09 (m, 2H), 5.12-5.22 (m, 1H), 7.25-7.42 (m, 5H).

Step 2) The title compound (white foam, 1.08 g) was prepared from Step 1 material (1.08 g, 2.19 mmol) and 4M HCl in 1,4-dioxane (15 mL, 60.0 mmol) in MeOH (15 mL) using the methods of Intermediate 12.

Data in Table 1.

Intermediate 16, 8-(pyridin-4-yl)-2,8-diazaspiro[4.5]decane Hydrochloride

Step 1) A mixture of tert-butyl 2,8-diazaspiro[4.5]decane-2-carboxylate (Intermediate 10, 1.00 g, 4.16 mmol), 4-fluoropyridine hydrochloride (Intermediate 15, 614 mg, 4.60 mmol) and K₂CO₃ (1.74 g, 12.6 mmol) in MeCN (80 mL) was heated at 80° C. overnight before cooling to rt and concentration in vacuo. The residue was partitioned between EtOAc and H₂O, the organic phase was washed with brine, dried (MgSO₄), and concentrated in vacuo. Purification by gradient flash chromatography, eluting with 0-100% solvent B in DCM (where solvent B is 7N NH₃ in MeOH/DCM, 1:9) yielded tert-butyl 8-(pyridin-4-yl)-2,8-diazaspiro[4.5]decane-2-carboxylate (610 mg, 1.92 mmol) as a brown, viscous oil.

LCMS (Method B): m/z 318.2 (ES+), at 1.36 min.

¹H NMR: (400 MHz, CD₃OD) δ: 1.46 (s, 9H), 1.63-1.68 (m, 4H), 1.81-1.85 (m, 2H), 3.23 (s 2H), 3.36-3.54 (m, 6H), 6.82-6.83 (m, 2H), 8.07-8.09 (m, 2H).

Step 2) The title compound (brown oil, 550 mg) was prepared from step 1) material (610 mg, 1.92 mmol) and 4M HCl in 1,4-dioxane (10 mL) using the methods of Intermediate 12, and used without purification in the preparation of Example 7.

Data in Table 1.

TABLE 1 Intermediate Name Data 1 1-(piperidin-4-yl)-1,3-dihydro-2H- Commercially available, CAS No. 185961-99-3 imidazo[4,5-b]pyridin-2-one 2 3-(piperidin-4-yl)quinolin-2(1H)- Commercially available, CAS No. 205058-78-2 one 3 3-(piperidin-4-yl)-3,4- Commercially available, CAS No. 79098-75-2 dihydroquinazolin-2(1H)-one 4 spiro[piperidine-4,4′-[4H]pyrido[2, Commercially available, CAS No. 753440-87-8 3-d][1,3]oxazin]-2′(1′H)-one 5 (R)-methyl 2-amino-3-(7-methyl- Commercially available, CAS No. No. 890044- 1H-indazol-5-yl)propanoate 58-3 (free base), CAS No. No. 1414976-14-9 (dihydrochloride salt) 6 (2R)-3-(7-methyl-1H-indazol-5- LCMS (Method A): m/z 463.5 (ES−), yl)-2-{[(2′-oxo-1′,2′-dihydro-1H- 465.3 (ES+), at 0.10 min. ¹H NMR (400 MHz, DMSO- spiro[piperidine-4,4′-pyrido[2,3- d₆) δ: 1.53-1.91 (m, 4H), 2.44 (s, 3H), d][1,3]oxazin]-1- 2.89-3.14 (m, 5H), 3.89 (t, J = 11.5, 2H), 4.23 (br s, 1H), yl)carbonyl]amino}propanoic acid 6.73 (d, J = 7.8, 1H), 6.93-7.06 (m, 2H), 7.31 (d, J = 7.4, 1H), 7.38 (s, 1H), 7.93 (s, 1H), 8.17 (dd, J = 5.1, 1.2, 1H), 10.78 (s, 1H), 13.00 (br s, 1H) 7 (2R)-3-(7-methyl-1H-indazol-5- LCMS (Method A): m/z 464.1 (ES+), at 1.14 min. yl)-2-({[4-(2-oxo-2,3-dihydro-1H- ¹H NMR (400 MHz, DMSO-d₆) δ: imidazo[4,5-b]pyridin-1- 1.62-1.67 (m, 2H), 1.87-2.12 (m, 2H), 2.38-2.52 (m, yl)piperidin-1- 1H), 2.46 (s, 3H), 2.70-2.80 (m, 2H), 2.98 (dd, yl]carbonyl}amino)propanoic acid J = 13.7, 9.8, 1H), 3.09 (dd, J = 13.7, 4.3, 1H), 4.08 (br d, J = 12.9, 2H), 4.20-4.27 (m, 1H), 4.28-4.38 (m, 1H), 6.75 (d, J = 8.2, 1H), 6.88 (dd, J = 7.8, 5.5, 1H), 7.42 (s, 1H), 7.27 (d, J = 7.8, 1H), 7.42 (s, 1H), 7.88 (dd, J = 5.1, 1.2, 1H), 7.96 (s, 1H), 11.54 (br s, 1H), 12.99 (br s, 1H) 8 (2R)-3-(7-methyl-1H-indazol-5- LCMS (Method A): m/z 474.3 (ES+), at 1.82 min. yl)-2-({[4-(2-oxo-1,2- ¹H NMR (400 MHz, DMSO-d₆) δ: dihydroquinolin-3-yl)piperidin-1- 1.25-1.36 (m, 2H), 1.72-1.78 (m, 2H), 2.48 (s, 3H), yl]carbonyl}amino)propanoic acid 2.66-2.78 (m, 2H), 2.88-2.94 (m, 1H), 2.97-3.03 (m, 1H), 3.10 (dd, J = 8.4, 3.4, 1H), 4.08 (d, J = 12.0, 2H), 4.24-4.30 (m, 1H), 6.57 (d, J = 8.0, 1H), 7.04 (s, 1H), 7.15 (dd, J = 12.4, 1.2, 1H), 7.27 (d, J = 8.4, 1H), 7.41-7.45 (m, 2H), 7.54 (s, 1H), 7.62 (dd, J = 6.8, 1.2, 1H), 7.97 (s, 1H), 11.69 (s, 1H), 12.1-13.1 (br s, 2H) 9 (2R)-3-(7-methyl-1H-indazol-5- LCMS (Method A): m/z 475.4 (ES−), yl)-2-({[4-(2-oxo-1,4- 477.3 (ES+), at 0.66 min. ¹H NMR (400 MHz, DMSO- dihydroquinazolin-3(2H)- d₆) δ: 1.36-1.66 (m, 4H), 2.47 (s, 3H), yl)piperidin-1- 2.59-2.78 (m, 2H), 2.92-3.14 (m, 3H), 4.00 (t, J = 16.0, 2H), yl]carbonyl}amino)propanoic acid 4.06-4.20 (m, 2H), 4.20-4.33 (m, 1H), 6.47 (br s, 1H), 6.75 (d, J = 7.8, 1H), 6.86 (t, J = 7.4, 1H), 7.01 (s, 1H), 7.06-7.17 (m, 2H), 7.36 (s, 1H), 7.96 (s, 1H), 9.21 (s, 1H), 12.99 (s, 1H) 10 tert-butyl 2,8- Commercially available, CAS No. 336191-17-4 diazaspiro[4.5]decane-2- carboxylate 11 benzyl 4-oxopiperidine-1- Commercially available, CAS No. 19099-93-5 carboxylate 12 benzyl 4-(2,8-diazaspiro[4.5]dec-8- LCMS (Method B): m/z 358.2 (ES+), at 1.51 min. yl)piperidine-1-carboxylate ¹H NMR (400 MHz, DMSO-d₆) δ: ppm 1.49-1.59 (m, 2H), 1.74-1.80 (m, 2H), 1.85-1.96 (m, 4H), 2.07-2.10 (m, 2H), 2.88-2.96 (m, 4H), 3.11-3.13 (m 1H), 3.18-3.26 (m, 2H), 3.28-3.34 (m, 4H), 4.09-4.13 (m, 2H), 5.06 (s, 2H), 7.30-7.38 (m, 5H), 9.22-9.33 (m, 2H), 10.38-10.95 (m, 1H) 13 N-[(benzyloxy)carbonyl]-N-methyl- Commercially available, CAS No. 68223-03-0 D-alanine 14 benzyl [(2R)-1-(2,8- LCMS (Method A): m/z 360.4 (ES+), at 5.21 min. diazaspiro[4.5]dec-8-yl)-1- ¹H NMR (400 MHz, DMSO-d₆) δ: oxopropan-2-yl]methylcarbamate 1.09-1.22 (m, 3H), 1.22-1.57 (m, 4H), 1.59-1.87 (m, 2H), 2.68-2.80 (m, 3H), 2.82-3.08 (m, 2H), 3.11-3.33 (m, 4H), 3.56 (s, 3H), 4.86-5.22 (m, 3H), 7.10-7.57 (m, 5H), 9.20 (br s, 2H) 15 4-fluoropyridine hydrochloride Commercially available, CAS No. 39160-31-1 16 8-(pyridin-4-yl)-2,8- LCMS (Method B): m/z 218.2 (ES+), at 0.91 min. diazaspiro[4.5]decane ¹H NMR: (400 MHz, CD₃OD) δ: 1.81-1.85 (m, hydrochloride 4H), 2.05-2.09 (m, 2H), 3.23 (s, 2H), 3.43-3.47 (m, 2H), 3.70-3.84 (m, 4H), 7.19-7.21 (m, 2H), 8.11-8.13 (m, 2H) (exchangeable protons not observed)

SYNTHESIS OF EXAMPLES

Typical procedures for the preparation of examples via amide coupling, and where appropriate, deprotection, as exemplified by the preparation of the below examples.

Procedure 1:

Example 2 N-[(2R)-1-[8-(N-methyl-D-alanyl)-2,8-diazaspiro[4.5]dec-2-yl]-3-(7-methyl-1H-indazol-5-yl)-1-oxopropan-2-yl]-4-(2-oxo-1,2-dihydroquinolin-3-yl)piperidine-1-carboxamide

Step 1) A mixture of (2R)-3-(7-methyl-1H-indazol-5-yl)-2-({[4-(2-oxo-1,2-dihydroquinolin-3-yl)piperidin-1-yl]carbonyl}amino)propanoic acid (Intermediate 8, 100 mg, 0.21 mmol), benzyl[(2R)-1-(2,8-diazaspiro[4.5]dec-8-yl)-1-oxopropan-2-yl]methylcarbamate hydrochloride (Intermediate 14, 99 mg, 0.25 mmol), HATU (96 mg, 0.25 mL) and DIPEA (146 μL, 0.84 mmol) in DMF (5 mL) was stirred at rt overnight before concentration in vacuo. Purification by gradient flash chromatography, eluting with 0-10% MeOH in DCM yielded benzyl methyl[(2R)-1-{2-[(2R)-3-(7-methyl-1H-indazol-5-yl)-2-({[4-(2-oxo-1,2-dihydroquinolin-3-yl)piperidin-1-yl]carbonyl}amino)propanoyl]-2,8-diazaspiro[4.5]dec-8-yl}-1-oxopropan-2-yl]carbamate (160 mg, 0.20 mmol) as a pale yellow solid.

LCMS (Method B): m/z 815.2 (ES+), at 1.41 min, 95%.

Step 2) Ammonium formate (126 mg, 2.0 mmol) was added to a mixture of benzyl methyl[(2R)-1-{2-[(2R)-3-(7-methyl-1H-indazol-5-yl)-2-({[4-(2-oxo-1,2-dihydroquinolin-3-yl)piperidin-1-yl]carbonyl}amino)propanoyl]-2,8-diazaspiro[4.5]dec-8-yl}-1-oxopropan-2-yl]carbamate (160 mg, 0.20 mmol) in EtOH (10 mL) and H₂O (2 mL). Palladium on carbon (10%, 10 mg) was added and the reaction mixture was heated at 70° C. overnight. After cooling to rt further ammonium formate (126 mg, 2.0 mmol) and palladium on carbon (10%, 10 mg) were added and the mixture heated at 70° C. for 1 h before cooling to rt, filtration through celite, and concentration of the filtrate in vacuo. Purification by gradient flash chromatography eluting with 0-10% MeOH in DCM, followed by preparative HPLC (Phenomenex Gemini-NX 5 μm C18 column, 100×30 mm, eluting with 20 to 40% MeCN/Solvent B over 12.5 min at 30 mL/min [where solvent B is 0.2% of (28% NH₃/H₂O) in H₂O], collecting fractions by monitoring at 205 nm), yielded the title compound (20 mg, 0.03 mmol) as a colourless solid.

Data in Table 2.

Procedure 2:

Example 5, N-[(2R)-1-[8-(N-methyl-D-alanyl)-2,8-diazaspiro[4.5]dec-2-yl]-3-(7-methyl-1H-indazol-5-yl)-1-oxopropan-2-yl]-2′-oxo-1′,2′-dihydro-1H-spiro[piperidine-4,4′-pyrido[2,3-d][1,3]oxazine]-1-carboxamide

Step 1) Benzyl methyl[(2R)-1-{2-[(2R)-3-(7-methyl-1H-indazol-5-yl)-2-{[(2′-oxo-1′,2′-dihydro-1H-spiro[piperidine-4,4′-pyrido[2,3-d][1,3]oxazin]-1-yl)carbonyl]amino}propanoyl]-2,8-diazaspiro[4.5]dec-8-yl}-1-oxopropan-2-yl]carbamate (26 mg, 0.03 mg) was prepared from (2R)-3-(7-methyl-1H-indazol-5-yl)-2-{[(2′-oxo-1′,2′-dihydro-1H-spiro[piperidine-4,4′-pyrido[2,3-d][1,3]oxazin]-1-yl)carbonyl]amino}propanoic acid (Intermediate 6, 70 mg, 0.15 mmol), benzyl[(2R)-1-(2,8-diazaspiro[4.5]dec-8-yl)-1-oxopropan-2-yl]methylcarbamate hydrochloride (Intermediate 14, 71 mg, 0.18 mmol), HATU (68 mg, 0.18 mmol) and DIPEA (0.13 mL, 0.18 mmol) in DMF (2 mL) using the methods of Example 2, Step 1.

LCMS (Method A): m/z 806.7 (ES+), at 3.64 min.

¹H NMR: (400 MHz, CD₃OD) δ: ppm 0.17-1.06 (m, 2H), 1.06-1.47 (m, 7H), 1.47-1.75 (m, 1H), 1.76-1.96 (m, 1H), 2.03 (d, J=5.1, 3H), 2.19-2.43 (m, 1H), 2.52 (s, 3H), 2.69-2.96 (m, 5H), 2.96-3.24 (m, 7H), 3.40-3.55 (m, 1H), 3.55-3.97 (m, 1H), 4.07 (d, J=10.5, 2H), 4.52-4.74 (m, 1H), 4.97-5.12 (m, 1H), 5.13-5.33 (m, 1H), 6.93-7.19 (m, 3H), 7.20-7.65 (m, 9H), 7.89-8.06 (m, 1H), 8.20 (d, J=4.7, 1H).

Step 2) A mixture of benzyl methyl[(2R)-1-{2-[(2R)-3-(7-methyl-1H-indazol-5-yl)-2-{[(2′-oxo-1′,2′-dihydro-1H-spiro[piperidine-4,4′-pyrido[2,3-d][1,3]oxazin]-1-yl)carbonyl]amino}propanoyl]-2,8-diazaspiro[4.5]dec-8-yl}-1-oxopropan-2-yl]carbamate (26 mg, 0.03 mg) and palladium on carbon (10%, 10 mg) in EtOH (2.5 mL) and H₂O (0.5 mL) was stirred at rt overnight under an atmosphere of H₂. After removal of the H₂ atmosphere the mixture was filtered through celite and the filtrate concentrated in vacuo to yield the title compound (22 mg, 0.03 mmol).

Data in Table 2.

Further examples prepared by the above procedures are detailed in Table 2.

TABLE 2 Ex. Intermediates/ LCMS data No. Name Procedure ¹H NMR (Method A) 1 N-{(2R)-3-(7-methyl-1H- 7, 12 (400 MHz, CD₃OD) δ: ppm m/z 669.4 indazol-5-yl)-1-oxo-1-[8- Procedure 1 0.42-0.59 (m, 2H), 0.67-0.79 (m, 1H), (ES⁺), at (piperidin-4-yl)-2,8- 0.87-0.95 (m, 1H), 1.10-1.49 (m, 4H), 1.86 min, diazaspiro[4.5]dec-2- 1.51-1.60 (m, 1H), 1.63-1.72 (m, 1H), 95% yl]propan-2-yl}-4-(2-oxo- 1.76-1.89 (m, 3H), 1.91-2.13 (m, 2H), 2,3-dihydro-1H- 2.13-2.43 (m, 4H), 2.52-2.59 (m, 5H), imidazo[4,5-b]pyridin-1- 2.76-3.00 (m, 5H), 3.04-3.16 (m, 4H), yl)piperidine-1- 3.53-3.75 (m, 1H), 4.25-4.32 (m, 2H), carboxamide 4.46-4.53 (m, 1H), 4.59-4.70 (m, 1H), 7.01-7.06 (m, 1H), 7.10-7.16 (m, 1H), 7.46-7.47 (m, 1H), 7.52-7.57 (m, 1H), 7.92-7.94 (m, 1H), 7.98-8.03 (m, 1H) (4 exchangeable protons not observed) 2 N-[(2R)-1-[8-(N-methyl-D- 8, 14 (600 MHz, DMSO-d₆, spectrum m/z 681.7 alanyl)-2,8- Procedure 1 recorded at 353K): δ: ppm (ES⁺), at diazaspiro[4.5]dec-2-yl]-3- 0.83-0.96 (m, 2H), 1.04 (br s, 2H), 1.05 (br s, 3.33 min, (7-methyl-1H-indazol-5- 1H), 1.32-1.54 (m, 5H), 1.56-1.67 (m, 100% yl)-1-oxopropan-2-yl]-4- 1H), 1.75-1.84 (m, 2H), 2.16 (br s, 2H), (2-oxo-1,2- 2.17 (br s, 1H), 2.49 (s, 3H), dihydroquinolin-3- 2.70-2.84 (m, 3H), 2.89-2.99 (m, 4H), yl)piperidine-1- 3.06-3.15 (m, 2H), 3.25-3.35 (m, 1H), carboxamide 3.36-3.52 (m, 3H), 3.65-3.77 (m, 1H), 4.12 (t, J = 13.8, 2H), 4.61 (q, J = 7.8, 1H), 6.29 (br s, 1H), 7.01 (s, 1H), 7.13 (ddd, J = 7.8, 7.0, 1.1, 1H), 7.29 (d, J = 8.3, 1H), 7.38 (s, 1H), 7.41 (ddd, J = 8.3, 7.1, 1.5, 1H), 7.57 (s, 1H), 7.60 (dd, J = 7.8, 1.0, 1H), 7.94 (s, 1H) (3 exchangeable protons not observed) 3 N-[(2R)-1-[8-(N-methyl-D- 7, 14 (400 MHz, CD₃OD) δ: ppm m/z 671.5 alanyl)-2,8- Procedure 1 0.44-0.72 (m, 1H), 0.77-0.94 (m, 1H), (ES⁺), at diazaspiro[4.5]dec-2-yl]-3- 1.07-1.20 (m, 3H), 1.34-1.54 (m, 2H), 2.57 min, (7-methyl-1H-indazol-5- 1.57-1.68 (m, 1H), 1.77-1.89 (m, 2H), 2.20 (s, 95%. yl)-1-oxopropan-2-yl]-4- 3H), 2.29-2.47 (m, 2H), 2.54 (s, 3H), (2-oxo-2,3-dihydro-1H- 2.73-2.82 (m, 1H), 2.90-3.02 (m, 2H), imidazo[4,5-b]pyridin-1- 3.06-3.45 (m, 7H), 3.49-3.59 (m, 3H), yl)piperidine-1- 3.63-3.81 (m, 1H), 4.25-4.28 (m, 2H), carboxamide 4.43-4.55 (m, 1H), 4.60-4.71 (m, 1H), 7.00-7.05 (m, 1H), 7.10-7.16 (m, 1H), 7.46-7.55 (m, 2H), 7.90-8.02 (m, 2H) (4 exchangeable protons not observed) 4 N-{(2R)-3-(7-methyl-1H- 9, 12 (400 MHz, DMSO-d₆) δ: ppm m/z 682.6 indazol-5-yl)-1-oxo-1-[8- Procedure 2 0.46-0.99 (m, 3H), 1.00-1.27 (m, 2H), (ES⁺), at (piperidin-4-yl)-2,8- 1.32 (br s, 3H), 1.40-1.66 (m, 7H), 3.33 min, diazaspiro[4.5]dec-2- 1.89-2.10 (m, 2H), 2.10-2.25 (m, 2H), 99%. yl]propan-2-yl}-4-(2-oxo- 2.27-2.43 (m, 3H), 2.45 (d, J = 2.3, 3H), 1,4-dihydroquinazolin- 2.57-2.75 (m, 3H), 2.77-3.01 (m, 5H), 3(2H)-yl)piperidine-1- 3.01-3.18 (m, 2H), 3.97-4.20 (m, 4H), carboxamide 4.44 (quin, J = 7.5, 1H), 6.67-6.90 (m, 3H), 6.98 (d, J = 4.7, 1H), 7.03-7.22 (m, 3H), 7.36 (br s, 1H), 7.96 (s, 1H), 9.21 (s, 1H), 13.02 (d, J = 9.0, 1H) 5 N-[(2R)-1-[8-(N-methyl-D- 6, 14 (400 MHz, CD₃OD) δ: ppm m/z 670.6 alanyl)-2,8- Procedure 2 0.37-0.62 (m, 1H), 0.62-1.01 (m, 1H), 1.13 (t, (ES⁻), 672.6 diazaspiro[4.5]dec-2-yl]-3- J = 6.2, 3H), 1.28 (s, 1H), 1.34-1.56 (m, (ES⁺), at (7-methyl-1H-indazol-5- 3H), 1.56-1.77 (m, 1H), 1.81-1.99 (m, 2.60 min, yl)-1-oxopropan-2-yl]-2′- 1H), 1.99-2.14 (m, 3H), 2.17-2.27 (m, 100%. oxo-1′,2′-dihydro-1H- 4H), 2.43-2.53 (m, 1H), 2.54 (s, 3H), spiro[piperidine-4,4′- 2.70-2.94 (m, 1H), 2.95-3.26 (m, 5H), pyrido[2,3- 3.37-3.81 (m, 4H), 4.07 (d, J = 13.3, d][1,3]oxazine]-1- 2H), 4.54-4.76 (m, 1H), 6.95-7.21 (m, carboxamide 2H), 7.37-7.52 (m, 1H), 7.53-7.65 (m, 1H), 8.00 (d, J = 10.2, 1H), 8.21 (d, J = 4.7, 1H) (4 exchangeable protons not observed) 6 N-[(2R)-1-[8-(N-methyl-D- 9, 14 (400 MHz, DMSO-d₆) δ: ppm m/z 684.7 alanyl)-2,8- Procedure 2 0.39-0.94 (m, 2H), 0.98 (br s, 3H), (ES⁺), at diazaspiro[4.5]dec-2-yl]-3- 1.16-1.41 (m, 3H), 1.41-1.65 (m, 5H), 3.08 min, (7-methyl-1H-indazol-5- 1.98-2.17 (m, 3H), 2.46 (s, 3H), 2.57-2.80 (m, 100%. yl)-1-oxopropan-2-yl]-4- 3H), 2.81-3.26 (m, 8H), 3.38-3.58 (m, (2-oxo-1,4- 2H), 3.61-3.77 (m, 1H), 3.89-4.21 (m, dihydroquinazolin-3(2H)- 3H), 4.21-4.31 (m, 1H), 4.41-4.51 (m, yl)piperidine-1- 1H), 6.74 (d, J = 7.8, 1H), 6.85 (t, J = 7.4, carboxamide 2H), 6.94-7.22 (m, 4H), 7.34-7.43 (m, 1H), 7.98 (d, J = 6.6, 1H), 9.23 (s, 1H), 13.07 (br s, 1H) 7 N-{(2R)-3-(7-methyl-1H- 7, 16 (400 MHz, CD₃OD) δ: ppm m/z 663.6 indazol-5-yl)-1-oxo-1-[8- Procedure 1, 1.48-1.56 (m, 3H), 1.61-1.68 (m, 2H), (ES⁺), at (pyridin-4-yl)-2,8- Step 1 1.83-1.84 (m, 2H), 2.22-2.43 (m, 3H), 2.93 min, diazaspiro[4.5]dec-2- 2.51-2.58 (m, 3H), 2.91-3.13 (m, 7H), 99%. yl]propan-2-yl}-4-(2-oxo- 3.21-3.27 (m, 1H), 3.37-3.48 (m, 3H), 2,3-dihydro-1H- 3.52-3.63 (m, 1H), 4.23-4.31 (m, 2H), imidazo[4,5-b]pyridin-1- 4.45-4.51 (m, 1H), 4.67-4.75 (m, 1H), yl)piperidine-1- 6.66-6.76 (m, 2H), 7.02-7.08 (m, 1H), carboxamide 7.13-7.17 (m, 1H), 7.49-7.57 (m, 2H), 7.94-7.96 (m, 1H), 8.03-8.10 (m, 3H) (3 exchangeable protons not observed) Biological Methods

Cloning, Baculovirus Generation, Large-Scale Infection of Sf21 Cells and Membrane Preparation.

Human Calcitonin Receptor Like Receptor (CRLR) and human RAMP1 were cloned into Invitrogen's (ThermoFisher Scientific, UK) pFastBac dual expression vector. Transposition of CRLR/RAMP1 DNA was performed using Invitrogen's Bac-to-Bac Baculovirus Expression Systems. P0 baculovirus was generated by transfecting SF9 cells with bacmid DNA using Cellfectin® II transfection reagent (ThermoFisher Scientific, UK, catalog number 10362-100). Following P0 generation P1 virus was then generated ready for large scale infection and membrane preparation. Sf21 cells were grown in expression medium ESF921 (Expression Systems, USA, catalog number 96-001-01) supplemented with 10% heat-inactivated FBS and 1% Pen/Strep and were infected at a cell density of 2.5×10⁶ cells/mL and an MOI of 2. Expression was carried out over 48 h in a shaking incubator set at 27° C. The cell culture was centrifuged at 2,500 rcf for 10 min at 4° C. The pellets were resuspended in cold PBS supplemented with Roche's Complete EDTA-free protease inhibitor cocktail tablets (Roche Applied Sciences, catalog number 05056489001), 1 mM PMSF and 1 mM EDTA. The resuspended cell paste was then centrifuged at 3,273 rcf for 12 min at 4° C. The supernatant was discarded and the pellet frozen at −80° C. The cell pellet from a 4 L culture was resuspended in buffer containing 50 mM Hepes pH 7.5, 150 mM NaCl, 8 Roche EDTA-free protease inhibitor cocktail tablets and 1 mM PMSF. The suspension was left stirring at rt for 1 h and then homogenised for 90 s at 9,500 rpm using a VDI 25 (VWR, USA) homogeniser. The cells were then lysed using a Microfluidizer processor M-110L Pneumatic (Microfluidics, USA). After lysis, the mixture was homogenised for 90 s at 9,500 rpm and then centrifuged at 335 rcf for 10 min. The supernatant was then further ultra-centrifuged at 42,000 rpm for 90 min. After ultra-centrifugation, the supernatant was discarded and the pellet was resuspended in 50 mL (25 mL for each 2 L culture) of buffer containing 50 mM Hepes pH 7.5, 150 mM NaCl, 3 Roche EDTA-free protease inhibitor cocktail tablets and 1 mM PMSF. The suspension was then homogenised for 90 s at 9,500 rpm. The resulting membranes were then stored at −80° C.

Radioligand Binding Assay.

Human CGRP receptors (consisting of CRLR and RAMP1) expressed in insect Sf21 cell membrane homogenates were re-suspended in the binding buffer (10 mM HEPES, pH 7.4, 5 mM MgCl₂, 0.2% BSA) to a final assay concentration of 0.6 protein per well. Saturation isotherms were determined by the addition of various concentrations of ³H-telcagepant (Ho et al, The Lancet, 2008, 372, 2115) (in a total reaction volume of 250 μL) for 60 min at rt. At the end of the incubation, membranes were filtered onto a unifilter, a 96-well white microplate with bonded GF/B filter pre-incubated with 0.5% PEI, with a Tomtec cell harvester and washed 5 times with distilled water. Non-specific binding (NSB) was measured in the presence of 10 nM MK-3207 hydrochloride (CAS No. 957116-20-0). Radioactivity on the filter was counted (1 min) on a microbeta counter after addition of 50 μL of scintillation fluid. For inhibition experiments, membranes were incubated with 0.5 nM ³H-telcagepant and 10 concentrations of the inhibitory compound (0.001-10 μM). IC₅₀ values were derived from the inhibition curve and the affinity constant (K_(i)) values were calculated using the Cheng-Prussoff equation (Cheng et al, Biochem. Pharmacol. 1973, 22, 3099-3108). The pK_(i) values (where pK_(i)=−log₁₀ K_(i)) of certain compounds of the invention are detailed in Table 3.

cAMP Functional Assay.

cAMP production following receptor activation was determined using the Homogeneous Time-Resolved Fluorescence (HTRF) cAMP dynamic-2 assay (Cisbio, France). The human neuroblastoma cell line SK-N-MC endogenously expressing the human CGRP receptor was seeded at a density of 12,500 cells/well in solid walled 96 well half area plates (Costar, Catalog Number 3688, Corning Life Sciences, Germany). After 16 h incubation at 37° C. media was removed and cells were incubated at 37° C. for 30 min in serum free media containing 500 μM IBMX (Tocris, Abingdon, UK, Catalog Number 2845) and increasing concentrations of test antagonist. Following this cells were challenged with an EC₈₀ concentration of human CGRP (0.3 nM) for a further 30 min at 37° C. and then cAMP production was determined as manufacturer's instructions before plates were read on a PheraStar fluorescence plate reader (BMG LabTech, Germany). IC₅₀ values were derived from the inhibition curve. The pIC₅₀ values (where pIC₅₀=−log₁₀ IC₅₀) were converted to a functional pK_(b) value using a modified Cheng-Prussoff equation where K_(d)=agonist EC₅₀ and L hot=agonist challenge concentration. The pK_(b) values of certain compounds of the invention are detailed in Table 3.

TABLE 3 Ex- ample pK_(i) pK_(b) No. Name Structure average average 1 N-{(2R)-3-(7-methyl-1H- indazol-5-yl)-1-oxo-1-[8- (piperidin-4-yl)-2,8- diazaspiro[4.5]dec-2- yl]propan-2-yl}-4-(2-oxo- 2,3-dihydro-1H- imidazo[4,5-b]pyridin-1- yl)piperidine-1- carboxamide

9.8 9.6 2 N-[(2R)-1-[8-(N-methyl- D-alanyl)-2,8- diazaspiro[4.5]dec-2-yl]- 3-(7-methyl-1H-indazol- 5-yl)-1-oxopropan-2-yl]- 4-(2-oxo-1,2- dihydroquinolin-3- yl)piperidine-1- carboxamide

9.8 8.9 3 N-[(2R)-1-[8-(N-methyl- D-alanyl)-2,8- diazaspiro[4.5]dec-2-yl]- 3-(7-methyl-1H-indazol- 5-yl)-1-oxopropan-2-yl]- 4-(2-oxo-2,3-dihydro-1H- imidazo[4,5-b]pyridin-1- yl)piperidine-1- carboxamide

10.1 9.2 4 N-{(2R)-3-(7-methyl-1H- indazol-5-yl)-1-oxo-1-[8- (piperidin-4-yl)-2,8- diazaspiro[4.5]dec-2- yl]propan-2-yl}-4-(2-oxo- 1,4-dihydroquinazolin- 3(2H)-yl)piperidine-1- carboxamide

10.1 9.1 5 N-[(2R)-1-[8-(N-methyl- D-alanyl)-2,8- diazaspiro[4.5]dec-2-yl]- 3-(7-methyl-1H-indazol- 5-yl)-1-oxopropan-2-yl]- 2′-oxo-1′,2′-dihydro-1H- spiro[piperidine-4,4′- pyrido[2,3-d][1,3]- oxazine]-1-carboxamide

10.0 9.3 6 N-[(2R)-1-[8-(N-methyl- D-alanyl)-2,8- diazaspiro[4.5]dec-2-yl]- 3-(7-methyl-1H-indazol- 5-yl)-1-oxopropan-2-yl]- 4-(2-oxo-1,4- dihydroquinazolin- 3(2H)-yl)piperidine-1- carboxamide

9.8 9.2 7 N-{(2R)-3-(7-methyl-1H- indazol-5-yl)-1-oxo-1-[8- (pyridin-4-yl)-2,8- diazaspiro[4.5]dec-2- yl]propan-2-yl}-4-(2-oxo- 2,3-dihydro-1H- imidazo[4,5-b]pyridin-1- yl)piperidine-1- carboxamide

10.3 9.4

Pharmacokinetic Profiling.

The pharmacokinetic profiles of Examples and reference compounds have been assessed in male Sprague Dawley® rats via intravenous (iv), sub-cutaneous (sc) and intranasal (IN) routes of delivery, and in male Cynomolgus Monkeys via iv and sc routes of delivery. Pharmacokinetic data for Examples of the invention and a reference compound, olcegepant, are detailed in Tables 4 and 5.

Methods:

For rat studies, groups of three male Sprague Dawley® rats, typically ranging in weight between 180 and 300 g, were given a single dose of Example or reference compound via one of the following routes: iv, sc or IN, using doses, dose volumes and vehicles specified in Table 4. Prior to IN dosing rats were anaesthetised with an intramuscular dose of 25-30 mg/kg ketamine cocktail (ketamine, xylazine hydrochloride and acepromazine maleate in saline) and the dose is introduced over 20-30 s via a polyethylene PE-10 tube inserted approximately 5 mm into the nasal cavity of the rat.

For cynomolgus monkey studies, groups of three male monkeys, typically ranging in weight between 3.0 and 4.5 kg, were given a single dose of Example or reference compound via one of the following routes: iv or sc, using doses, dose volumes and vehicles specified in Table 5. Following dosing by the routes above blood samples were taken at several time points (typically pre-dose, 0.083, 0.25, 0.5 1, 2, 4, 8 and 24 h) via serial tail vein bleeds (rat) or cephalic or saphenous vein (monkey) from the animal and centrifuged to separate plasma for analysis by LC/MS/MS assay. WinNonlin v6.2 statistics software (Pharsight Corporation, California, USA) was used to generate pharmacokinetic parameters using the non-compartmental model.

TABLE 4 Rat iv pharmacokinetics Dose Dose volume Clearance (mg/kg) (mL/kg) Vehicle (mL/min/kg) olcegepant 5 1 10% DMAC + 10% 18 SolutolHS15 + 80% Saline Example 2 2 1 10% DMAC + 10% 7 SolutolHS15 + 80% Saline Rat sc pharmacokinetics Dose Dose volume Bioavailability (mg/kg) (mL/kg) Vehicle (%) olcegepant 1 5 10% DMAC + 10%  48% SolutolHS15 + 80% Saline Example 2 1 2 Acidified saline 100% Rat IN pharmacokinetics Dose Dose concentration, Bioavailability (mg/kg) Dose volume Vehicle (%) olcegepant 1.3  6 mg/mL, 50 μL Acidified saline 8 Example 2 1 12 mg/mL, 25 μL Acidified saline 20

TABLE 5 Cynomolgus monkey iv pharmacokinetics Dose Dose volume Clearance (mg/kg) (mL/kg) Vehicle (mL/min/kg) Example 2 1 1 Acidified saline 8 Cynomolgus monkey sc pharmacokinetics Dose Dose volume Bioavailability (mg/kg) (mL/kg) Vehicle (%) Example 2 0.5 1 Acidified saline 100

Thermodynamic Solubility Profiling.

A 50 mM DMSO stock solution of test compound was prepared, and from this, a working solution of 1 mM was prepared by dilution with DMSO. The UV absorbance of working solution was scanned from 220 nm to 1000 nm to identify the wavelength maxima of test compound. The 1 mM working solution was then serially diluted in DMSO to different concentrations to determine linearity/calibration curve. To ascertain the aqueous thermodynamic solubility of test compound, samples were added to a volume of PBS buffer (pH 7.4) or Sodium Phosphate Buffer (pH 6.0) which was appropriate to generate a final concentration of 1 mg/mL if all test compound dissolved. The resulting solution was then kept on a RotoSpin shaker at 50 rpm for 24 h at rt before the solution was filtered using 0.45 micron PVDF injector filters in order to remove the insoluble fraction of the compound. Subsequently, 150 uL of the filtrate is taken for quantification using a UV spectrophotometer, acquiring the optical density of standard solutions and test compound at the same wavelength maxima. From the optical density of test compound the thermodynamic solubility is calculated using the linearity/calibration curve and expressed as micromolar (μM). Solubility profiles of certain compounds of the invention are detailed in Table 6.

TABLE 6 Reference Cpd/ Thermodynamic solubility (μM) Example pH 6 pH 7.4 olcegepant 150 431 Example 1 1029 Not tested Example 2 1287 800 Example 3 1432 1548 Example 4 1346 1148 Example 5 1575 1458 Example 6 1496 1571 Example 7 3627 2160 

The invention claimed is:
 1. A method for treating a cerebrovascular or vascular disorder in a subject comprising administering to the subject a compound of formula (I)

or a salt thereof, wherein R¹ is

R² is H or forms a spirocyclic heterocyclic ring with R³; R³ forms a spirocyclic heterocyclic ring with R² or is a heterocyclic ring if R² is H, wherein the cerebrovascular or vascular disorder is migraine without aura, chronic migraine, pure menstrual migraine, menstrually-related migraine, migraine with aura, familial hemiplegic migraine, sporadic hemiplegic migraine, basilar-type migraine, cyclical vomiting, abdominal migraine, benign paroxysmal vertigo of childhood, retinal migraine, status migrainosus, cluster headache, dialysis headache, paroxysmal hemicrania, osteoarthritis, hot flashes associated with menopause or medically induced menopause due to surgery or drug treatment, hemicrania continua, cyclic vomiting syndrome, rosacea or joint pain associated with osteoarthritis and rheumatoid arthritis.
 2. The method of claim 1, wherein the compound is administered via a non-oral route.
 3. The method of claim 2, wherein the non-oral route of administration is an intranasal route, a sub-cutaneous route or an intravenous route.
 4. The method of claim 1, wherein R¹ is


5. The method of claim 1, wherein R² is H and R³ is


6. The method of claim 5, wherein R³ is


7. The method of claim 1, wherein R² forms a spirocyclic heterocyclic ring with R³ to form


8. The method of claim 1, wherein the compound of formula (I) is selected from the group consisting of: N-{(2R)-3-(7-methyl-1H-indazol-5-yl)-1-oxo-1-[8-(piperidin-4-yl)-2,8-diazaspiro[4.5]dec-2-yl]propan-2-yl}-4-(2-oxo-2,3-dihydro-1H-imidazo[4,5-b]pyridin-1-yl)piperidine-1-carboxamide; N-[(2R)-1-[8-(N-methyl-D-alanyl)-2,8-diazaspiro[4.5]dec-2-yl]-3-(7-methyl-1H-indazol-5-yl)-1-oxopropan-2-yl]-4-(2-oxo-1,2-dihydroquinolin-3-yl)piperidine-1-carboxamide; N-[(2R)-1-[8-(N-methyl-D-alanyl)-2,8-diazaspiro[4.5]dec-2-yl]-3-(7-methyl-1H-indazol-5-yl)-1-oxopropan-2-yl]-4-(2-oxo-2,3-dihydro-1H-imidazo[4,5-b]pyridin-1-yl)piperidine-1-carboxamide; N-{(2R)-3-(7-methyl-1H-indazol-5-yl)-1-oxo-1-[8-(piperidin-4-yl)-2,8-diazaspiro[4.5]dec-2-yl]propan-2-yl}-4-(2-oxo-1,4-dihydroquinazolin-3(2H)-yl)piperidine-1-carboxamide; N-[(2R)-1-[8-(N-methyl-D-alanyl)-2,8-diazaspiro[4.5]dec-2-yl]-3-(7-methyl-1H-indazol-5-yl)-1-oxopropan-2-yl]-2′-oxo-1′,2′-dihydro-1H-spiro[piperidine-4,4′-pyrido[2,3-d][1,3]oxazine]-1-carboxamide; N-[(2R)-1-[8-(N-methyl-D-alanyl)-2,8-diazaspiro[4.5]dec-2-yl]-3-(7-methyl-1H-indazol-5-yl)-1-oxopropan-2-yl]-4-(2-oxo-1,4-dihydroquinazolin-3(2H)-yl)piperidine-1-carboxamide; and N-{(2R)-3-(7-methyl-1H-indazol-5-yl)-1-oxo-1-[8-(pyridin-4-yl)-2,8-diazaspiro[4.5]dec-2-yl]propan-2-yl}-4-(2-oxo-2,3-dihydro-1H-imidazo[4,5-b]pyridin-1-yl)piperidine-1-carboxamide; or a salt thereof.
 9. The method of claim 1, wherein the compound of formula (I) is selected from the group consisting of: N-{(2R)-3-(7-methyl-1H-indazol-5-yl)-1-oxo-1-[8-(piperidin-4-yl)-2,8-diazaspiro[4.5]dec-2-yl]propan-2-yl}-4-(2-oxo-2,3-dihydro-1H-imidazo[4,5-b]pyridin-1-yl)piperidine-1-carboxamide; N-[(2R)-1-[8-(N-methyl-D-alanyl)-2,8-diazaspiro[4.5]dec-2-yl]-3-(7-methyl-1H-indazol-5-yl)-1-oxopropan-2-yl]-4-(2-oxo-1,2-dihydroquinolin-3-yl)piperidine-1-carboxamide; N-[(2R)-1-[8-(N-methyl-D-alanyl)-2,8-diazaspiro[4.5]dec-2-yl]-3-(7-methyl-1H-indazol-5-yl)-1-oxopropan-2-yl]-4-(2-oxo-2,3-dihydro-1H-imidazo[4,5-b]pyridin-1-yl)piperidine-1-carboxamide; N-{(2R)-3-(7-methyl-1H-indazol-5-yl)-1-oxo-1-[8-(piperidin-4-yl)-2,8-diazaspiro[4.5]dec-2-yl]propan-2-yl}-4-(2-oxo-1,4-dihydroquinazolin-3(2H)-yl)piperidine-1-carboxamide; N-[(2R)-1-[8-(N-methyl-D-alanyl)-2,8-diazaspiro[4.5]dec-2-yl]-3-(7-methyl-1H-indazol-5-yl)-1-oxopropan-2-yl]-2′-oxo-1′,2′-dihydro-1H-spiro[piperidine-4,4′-pyrido[2,3-d][1,3]oxazine]-1-carboxamide; N-[(2R)-1-[8-(N-methyl-D-alanyl)-2,8-diazaspiro[4.5]dec-2-yl]-3-(7-methyl-1H-indazol-5-yl)-1-oxopropan-2-yl]-4-(2-oxo-1,4-dihydroquinazolin-3(2H)-yl)piperidine-1-carboxamide; and N-{(2R)-3-(7-methyl-1H-indazol-5-yl)-1-oxo-1-[8-(pyridin-4-yl)-2,8-diazaspiro[4.5]dec-2-yl]propan-2-yl}-4-(2-oxo-2,3-dihydro-1H-imidazo[4,5-b]pyridin-1-yl)piperidine-1-carboxamide.
 10. The method of claim 1, wherein the compound of formula (I) is


11. The method of claim 1, wherein the compound of formula (I) is

or a salt thereof. 